The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS, MT · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER has an overall rating of 2 out of 5 stars, with weak quality measures (1 star) and staffing (2 stars), and reported nurse staffing below the federal benchmark (3.63 vs 4.1 hours per resident per day). It also has $91,549 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving abuse/neglect protection, pressure ulcer care, and medication errors.
Facility ratings
Health inspections
Staffing
3.6298 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $91,549recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6298.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.38
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 76%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
24.2%16.1%Improving
Residents with a fall causing major injury
2%8.2%Worsening
Residents with pressure ulcers (bedsores)
4.9%8.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.9%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.8%32.6%Worsening
Residents whose ability to walk got worse
—41%—
Long-stay residents on antianxiety or sleep medication
18.6%20.9%Worsening
Short-stay residents newly given an antipsychotic
1.4%0%Improving
Residents with a long-term catheter
2.3%1.8%No change
Residents with new or worsening incontinence
40.6%44.4%Worsening
Residents with depressive symptoms
10.9%5.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—54.1%—
Long-stay residents given the pneumonia vaccine
89.8%81.6%Worsening
Short-stay residents given the seasonal flu vaccine
—30.1%—
Short-stay residents given the pneumonia vaccine
34.5%28.4%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
Recent history
- PENALTY
A federal fine of $43,891 was recorded.
- PENALTY
A federal fine of $67,525 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $47,658 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $91,549 in total fines.
- $43,891
Federal fine
Mar 26, 2026
- $47,658
Federal fine
Oct 21, 2024
Operator & ownership
Recent ownership change · Aug 31, 2023
Now operated by Aspen Meadows Health & Rehabilitation Center, previously Aspen Meadows Health and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 66 residents on an average day (73% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.